US20030167065A1 - Blood vessel occlusion device - Google Patents
Blood vessel occlusion device Download PDFInfo
- Publication number
- US20030167065A1 US20030167065A1 US10/086,753 US8675302A US2003167065A1 US 20030167065 A1 US20030167065 A1 US 20030167065A1 US 8675302 A US8675302 A US 8675302A US 2003167065 A1 US2003167065 A1 US 2003167065A1
- Authority
- US
- United States
- Prior art keywords
- plug
- blood vessel
- artery
- insertion device
- needle
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12027—Type of occlusion
- A61B17/1204—Type of occlusion temporary occlusion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
- A61B17/12109—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in a blood vessel
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
- A61B17/12159—Solid plugs; being solid before insertion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
- A61B17/12168—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure
- A61B17/12172—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure having a pre-set deployed three-dimensional shape
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B2017/1205—Introduction devices
Definitions
- the present invention relates to medical devices that are implanted in the human body.
- the present invention relates to medical devices that can be used to occlude blood vessels on a temporary or permanent basis.
- Implantable medical devices have been developed for treating ailments of the human body.
- One such implantable medical device is an occlusion device used to occlude blood vessels i.e. to prevent the flow of blood through these vessels.
- These occlusion devices may be used to occlude blood vessels either temporarily or permanently. In certain cases, for example, during a surgery, these devices may be used to stem the flow of blood while the surgery is performed. In other cases, such as in treatment of certain cardiovascular diseases, permanent occlusion devices may be used.
- An aneurysm is a balloon-like swelling of a blood vessel such as an artery. This swelling may be caused due to diseases such as arteriosclerosis or cystic medial necrosis, or due to infections such as syphilitic or mycotic infections, or even due to trauma.
- the aneurysm results in a weakening of the wall of the artery or other blood vessel in which it occurs.
- the region of the artery (or the blood vessel) that has been affected by the aneurysm may tear or rupture over time because of sustained blood pressure.
- aneurysm affected artery in the brain bursts due to a weakened wall, then cranial hemorrhaging and subsequently even death may occur.
- aneurysms occurring in certain regions of the body may lead to life-threatening conditions and therefore need to be detected early and treated suitably.
- an aneurysm may occur in any location of the human body, it is more likely to occur in the abdominal aorta.
- This type of aneurysm is referred to as an Abdominal Aortic Aneurysm (AAA).
- AAA Abdominal Aortic Aneurysm
- An AAA usually results in a large swelling in the affected region of the aorta.
- surgery may be necessary to treat the aneurysm.
- Three techniques are usually employed to occlude blood vessels. These include sealing of a blood vessel using a finger, sealing of the blood vessel using a clamp or a clip and suturing of the blood vessel.
- a clamp or a clip may be used to occlude a blood vessel.
- the clamp or clip is used to constrict the blood vessel so as to minimize blood flow through the narrow opening in the blood vessel.
- the surgical clamps and “ligating” clips come in a variety of shapes and sizes.
- a surgical clamp is connected to an elongated arm and is controlled with a handle. The elongated arm allows the surgeon to apply and remove the clamp easily during the surgery.
- Two such surgical clamps have been disclosed in U.S. Pat. Nos. 5,133,724 and 5,447,515. However, such designs are not always suitable since the long arm or handle may hinder the surgeon's access to the affected blood vessel.
- clamps may slip and slide out of position if a sufficiently large clamping force is not applied.
- this large clamping force may permanently damage the wall of the artery.
- the use of ligating clips and clamps is a temporary arrangement because it does not seem feasible to leave a metallic clamp inside a human body for a long duration.
- clamps and clips may not always be suitable for occluding blood vessels.
- a third technique to occlude blood vessels is to suture these vessels.
- This technique allows the blood vessel to be completely sealed.
- suturing is usually a time-consuming procedure as compared to other methods mentioned above. Consequently, suturing may not be suitable for all surgical procedures. For instance, consider the surgical procedure used to treat an aneurysm in the lumbar region of the body. In this surgical procedure, a large number of blood vessels may need to be cut in order to treat the aneurysm. Hence, if the cut vessels are sutured, as is done currently, then there may be considerable loss of blood before all blood vessels have been occluded. Moreover, there may be difficulties in the suturing process itself if there are calcium deposits in the area of the aneurysm.
- Calcium deposits are likely to occur in this region since aneurysms usually begin as micro tears in the wall of the blood vessel, and calcium and other blood coagulating material are likely to deposit at the site of these tears. Furthermore, these calcium deposits may also weaken sutures that have been applied thereby decreasing the effectiveness of this technique.
- the present invention provides a plug made of biocompatible material and an insertion syringe to allow the plug to be inserted into the blood vessel.
- the present invention allows for the blood vessel to be rapidly occluded.
- the plug may be used to permanently seal the blood vessel, and may be implanted in the body for long durations, even for the entire life of a patient.
- a plug having a tapered shape is provided.
- the taper of the plug facilitates insertion of this plug into the blood vessel.
- a plug having an essentially cylindrical shape is provided.
- the cylindrical shape of the plug helps to secure the plug in the blood vessel, thereby effectively occluding the blood vessel.
- a plug having an umbrella shape is provided. This plug is particularly advantageous in occluding a blood vessel having calcium and other such deposits near opening of the blood vessel.
- FIG. 1 shows an occlusion device inserted in a blood vessel in accordance with the present invention
- FIG. 2 shows the preferred embodiment of the occlusion device
- FIG. 3 shows an insertion syringe in accordance with the present invention
- FIG. 4 shows an exploded view of the insertion syringe
- FIG. 5 shows an alternate embodiment of the occlusion device.
- An Abdominal Aortic Aneurysm is a disease that weakens the walls of the aorta and leads to swelling of the aneurysm affected region of the aorta.
- the weakened walls of the aorta may not be able to withstand the pressure of blood flowing through the aorta, and in extreme cases, the aorta may rupture in the affected region leading to internal hemorrhaging.
- the treatment typically provides an alternate path for the flow of blood so as to bypass the aneurysm affected region of the aorta.
- the bypass is a graft that replaces the affected portion of the aorta.
- a surgeon makes an incision in the abdominal wall of the patient and gains access to the aneurysm affected region of the aorta. Then, the surgeon clamps the aorta above and below the aneurysm affected region in order to block the flow of blood through the aorta. In the next step, the surgeon opens the aneurysm affected region of the aorta and provides an alternate path for the flow of blood. Thereby, the affected region is bypassed.
- the present invention provides a plug 102 that may be used to quickly and effectively seal these arteries.
- the surgeon clamps the aorta above the aneurysm affected region.
- the surgeon cuts open the aorta along its length so as to expose the aneurysm affected region of the aorta. This also exposes the collateral arteries originating in this region.
- the surgeon uses plug 102 to quickly seal these arteries thereby preventing excessive loss of blood.
- the surgeon prepares a graft so as to create an alternate path for the flow of blood. Hence, the aneurysm affected region of the aorta is bypassed.
- FIG. 1 illustrates an artery 104 that has been occluded using a plug 102 in accordance with the present invention.
- Artery 104 has a lumen 106 through which the blood flows and plug 102 has been inserted axially into lumen 106 to occlude artery 104 .
- Plug 102 is axially symmetric and is inserted into artery 104 such that the axis of symmetry of plug 102 coincides with the longitudinal axis of artery 104 .
- plug 102 has a tapered shape; the diameter of rounded end 105 of plug 102 is smaller than lumen 106 and the diameter of the other end is larger than the diameter of lumen 106 . This facilitates insertion of plug 102 into artery 104 .
- Artery 104 has a thick elastic wall surrounding lumen 106 . This thick wall has been provided so as to withstand flow of blood at high pressure through artery 104 .
- the elastic nature of artery 104 allows plug 102 to be tightly grasped by artery 104 . Therefore, the elastic nature of the walls enables the plug to be effective in occluding artery 104 .
- the elastic walls of artery 104 also permit a small range of plugs 102 to be used for different sizes of arteries 104 .
- plug 102 of a certain size may be used for occluding arteries of different sizes. Typically, plug 102 ranges from 1 mm to 4 mm in diameter.
- plug 102 is made of silicone, which is a popular material for making devices that are implanted inside the body for long durations. Silicone is useful since it is non-toxic, chemically inert, substantially insoluble in blood and substantially non-immunogenic. In addition to silicone, newer elastomeric biocompatible materials may also be used to manufacture plug 102 . Ongoing research and development in biocompatible materials have created materials with a longer life, better strength and lower cost—all of which are desirable qualities of the material of plug 102 . Typical examples of such materials include polyurethanes and polyisobutylene-based polymers.
- FIG. 2 shows internal construction of plug 102 .
- Plug 102 is axially symmetric and substantially hollow.
- Plug 102 has an outer surface 202 having a tapered shape and an inner surface 204 .
- the plug is made of sufficient strength to withstand forces acting on it.
- the elastic walls of the artery exert a compressive force on plug 102 .
- the plug is also subject to an axial force due to pressure of blood in the artery.
- inner surface 104 of plug 102 is corrugated and projections 206 are provided to add strength to plug 102 .
- plug 102 may be reinforced by means of spokes 208 attached to the inner surface 204 .
- spokes 208 are typically made of Tungsten or some other material of sufficient rigidity and strength.
- plug 102 has a pilot hole 210 . This pilot hole 210 enables plug 102 to be mounted on insertion syringe 300 , shown in FIG. 3.
- plug 102 may be constructed without any reinforcing spokes 208 .
- plug 102 may be manufactured using materials of sufficient structural rigidity and strength. Furthermore, reinforcing spokes may be avoided by suitably increasing the thickness of plug 102 .
- plug 102 is inserted into artery 104 by positioning this plug axially over artery 104 , and by applying an axial force.
- the surgeon may apply this force either by hand (if feasible) or by using an insertion device such as insertion syringe 300 , shown in FIG. 3.
- This insertion syringe has a casing 302 and a lever 306 ; the surgeon uses lever 306 to operate insertion syringe 300 .
- Lever 306 in turn enables a needle 308 , housed in a tubular needle guard 310 , to be pushed outwards.
- the surgeon mounts plug 102 on the needle guard 310 of the insertion syringe.
- FIG. 4 shows an exploded view of insertion syringe 300 .
- This syringe is essentially a spring activated device.
- a spring 400 and a needle guide 402 have been shown encased in casing 302 .
- This spring is in a compressed state before lever 306 is activated, and needle 308 is pulled inside needle guard 310 .
- spring 400 unwinds and propels needle guide 402 ; in turn, this needle guide propels needle 308 outwards.
- plug 102 that is attached to needle guard 310 is propelled outwards and inserted into artery 104 .
- needle 308 of insertion syringe 300 could be propelled outwards using air or other fluid means at high pressure.
- FIG. 5 shows an alternative embodiment 500 of the present invention used to occlude an artery 104 .
- Plug 500 is also symmetric about its axis. Further, plug 500 has a rounded end 502 that facilitates introduction of plug 500 into artery 104 .
- elastic walls of artery 104 wrap around end 502 and tubular section 504 of plug 500 .
- diameter of rounded end 502 and diameter of tubular section 504 are slightly larger than diameter of lumen 106 of artery 104 . Consequently, artery 104 tightly grips plug 500 and plug 500 effectively occludes the artery.
- This tubular section 504 is followed by a disc 506 having a larger diameter than that of tubular section 504 .
- rounded end 502 and tubular section 504 enter the artery whereby the artery wraps around tubular section 504 along its length up to disc 506 .
- another tubular section 508 having a pilot hole 510 .
- Pilot hole 510 allows plug 500 to be used in conjunction with insertion syringe 300 thereby enabling plug 500 to be quickly applied to occlude artery 104 .
- Plug 500 is also made of a biocompatible material such as Silicone.
- a plug shaped like an umbrella is used to occlude artery 104 .
- This plug is also axially symmetric.
- This plug exists in two configurations—a compressed state and an expanded state.
- This plug comprises an elastic outer surface and a plurality of ribs connected to this outer surface. These ribs may be operated to transform the plug from the compressed state to the expanded state.
- the umbrella shaped plug is introduced into artery 104 in the compressed state. In this state, the plug has a diameter less than the diameter of lumen 106 .
- the surgeon uses insertion syringe 300 to operate the ribs, whereby the outer surface expands to occlude artery 104 .
- the plug preferably uses a two cylinder mechanism to achieve this expansion.
- a first cylinder is connected to the insertion syringe, and a second cylinder is connected to the ribs.
- the second cylinder slides over the first cylinder to operate the ribs, thereby causing the plug to expand and occlude the artery 104 .
- This plug is particularly advantageous in occluding an artery with calcium and other deposits near the opening of the artery. These deposits may not allow plugs to be effectively gripped by the artery. However, this umbrella shaped plug may be applied at a location where such deposits are absent, thereby effectively occluding the artery.
- the plugs of the present invention may be used to occlude arteries in other regions of the body.
- these plugs may also be used to occlude other blood vessels such as veins and capillaries.
- the plugs may be utilized in permanent or temporary procedures.
Abstract
Description
- The present invention relates to medical devices that are implanted in the human body. In particular, the present invention relates to medical devices that can be used to occlude blood vessels on a temporary or permanent basis.
- Various implantable medical devices have been developed for treating ailments of the human body. One such implantable medical device is an occlusion device used to occlude blood vessels i.e. to prevent the flow of blood through these vessels. These occlusion devices may be used to occlude blood vessels either temporarily or permanently. In certain cases, for example, during a surgery, these devices may be used to stem the flow of blood while the surgery is performed. In other cases, such as in treatment of certain cardiovascular diseases, permanent occlusion devices may be used.
- There are numerous situations where certain blood vessels such as arteries and veins may have to be occluded. Surgical treatment of an aneurysm is one such situation where occlusion devices are required. An aneurysm is a balloon-like swelling of a blood vessel such as an artery. This swelling may be caused due to diseases such as arteriosclerosis or cystic medial necrosis, or due to infections such as syphilitic or mycotic infections, or even due to trauma. Typically, the aneurysm results in a weakening of the wall of the artery or other blood vessel in which it occurs. The region of the artery (or the blood vessel) that has been affected by the aneurysm may tear or rupture over time because of sustained blood pressure. If the artery tears or ruptures, and consequently bleeding occurs, then there may be severe consequences for the patient. For instance, if an aneurysm affected artery in the brain bursts due to a weakened wall, then cranial hemorrhaging and subsequently even death may occur. Hence, aneurysms occurring in certain regions of the body may lead to life-threatening conditions and therefore need to be detected early and treated suitably.
- Although an aneurysm may occur in any location of the human body, it is more likely to occur in the abdominal aorta. This type of aneurysm is referred to as an Abdominal Aortic Aneurysm (AAA). An AAA usually results in a large swelling in the affected region of the aorta. In cases where the aneurysm affected region of the aorta exceeds 6 cm in diameter, surgery may be necessary to treat the aneurysm.
- In a typical surgery to treat a patient suffering from an AAA, an incision is made in the abdominal wall of the patient to expose the artery. In the next step, the portion of the aorta that is just above the aneurysm-affected region is clamped (so as to disallow any flow of blood) and then the affected portion of the abdominal aorta cut and opened.
- Note that once the affected portion of the aorta has been opened, the blood vessels that originate from this cut region of aorta are exposed and begin to bleed profusely. Hence, in such cases it is necessary to seal these cut blood vessels to prevent excessive loss of blood. In such cases, occluding means are often employed during the surgery to prevent excessive bleeding from such blood vessels.
- Three techniques are usually employed to occlude blood vessels. These include sealing of a blood vessel using a finger, sealing of the blood vessel using a clamp or a clip and suturing of the blood vessel.
- In the first technique that is the simplest, a surgeon or other person assisting in the surgery seals the cut blood vessel using a finger. This technique is usually used since the finger may be readily applied to seal the cut blood vessel. However, this method is usually not suitable due to certain drawbacks. Firstly, the space available in the site of the surgery may be reduced considerably. Secondly, the hand of the person may not allow the blood vessel to be clearly seen and operated upon, and hence this technique may hinder access to the site of the surgery. Thirdly, this technique is not a permanent sealing arrangement. Because of these drawbacks, this technique is rarely used to occlude the affected blood vessels (for the entire duration of the surgery). Instead, this technique is sometimes used while another occluding mean is applied to the blood vessel.
- In an alternative technique, a clamp or a clip may be used to occlude a blood vessel. In this technique, the clamp or clip is used to constrict the blood vessel so as to minimize blood flow through the narrow opening in the blood vessel. The surgical clamps and “ligating” clips come in a variety of shapes and sizes. In a typical design, a surgical clamp is connected to an elongated arm and is controlled with a handle. The elongated arm allows the surgeon to apply and remove the clamp easily during the surgery. Two such surgical clamps have been disclosed in U.S. Pat. Nos. 5,133,724 and 5,447,515. However, such designs are not always suitable since the long arm or handle may hinder the surgeon's access to the affected blood vessel.
- Alternative designs of clamps also exist where the handle or other such clamp applier may be readily removed from the site of the surgery. U.S. Pat. No. 5,282,812 discloses one such clamp. However, such a surgical clamp has the drawback that it is difficult to quickly loosen or remove the clamp. In this method, the difficulty arises since the surgeon must apply the appropriate amount of force by hand for loosening and removing the clamp. Another drawback of these occlusion devices is that these may not be effective in completely sealing certain blood vessels. For instance, a blood vessel such as an artery usually has a very thick wall. Therefore, it may not be possible to completely seal such an artery using a clamp or a clip. Furthermore, the clamps may slip and slide out of position if a sufficiently large clamping force is not applied. However, this large clamping force may permanently damage the wall of the artery. Finally, the use of ligating clips and clamps is a temporary arrangement because it does not seem feasible to leave a metallic clamp inside a human body for a long duration. Thus, clamps and clips may not always be suitable for occluding blood vessels.
- A third technique to occlude blood vessels is to suture these vessels. This technique allows the blood vessel to be completely sealed. However, suturing is usually a time-consuming procedure as compared to other methods mentioned above. Consequently, suturing may not be suitable for all surgical procedures. For instance, consider the surgical procedure used to treat an aneurysm in the lumbar region of the body. In this surgical procedure, a large number of blood vessels may need to be cut in order to treat the aneurysm. Hence, if the cut vessels are sutured, as is done currently, then there may be considerable loss of blood before all blood vessels have been occluded. Moreover, there may be difficulties in the suturing process itself if there are calcium deposits in the area of the aneurysm. Calcium deposits are likely to occur in this region since aneurysms usually begin as micro tears in the wall of the blood vessel, and calcium and other blood coagulating material are likely to deposit at the site of these tears. Furthermore, these calcium deposits may also weaken sutures that have been applied thereby decreasing the effectiveness of this technique.
- Consequently, there is a need to quickly and effectively occlude blood vessels during surgical procedures. It should be noted that the need for occluding blood vessels occurs not only in surgery for treating aneurysms but also in other surgeries. Therefore, what is required is a sealing device capable of permanently occluding a variety of blood vessels in different regions of the body.
- It is an object of the present invention to provide a means to occlude a blood vessel such as an artery.
- In order to attain the aforementioned object, the present invention provides a plug made of biocompatible material and an insertion syringe to allow the plug to be inserted into the blood vessel. The present invention allows for the blood vessel to be rapidly occluded. Furthermore, the plug may be used to permanently seal the blood vessel, and may be implanted in the body for long durations, even for the entire life of a patient.
- It is a further object of the present invention to provide a means to effectively occlude a blood vessel such as an artery. Accordingly, the plug of the present invention is designed to be effective even in cases of deposits, such as calcium and/or cholesterol deposits, in the artery.
- In a preferred embodiment of the present invention, a plug having a tapered shape is provided. The taper of the plug facilitates insertion of this plug into the blood vessel.
- In an alternative embodiment of the present invention, a plug having an essentially cylindrical shape is provided. The cylindrical shape of the plug helps to secure the plug in the blood vessel, thereby effectively occluding the blood vessel.
- In another alternative embodiment of the present invention, a plug having an umbrella shape is provided. This plug is particularly advantageous in occluding a blood vessel having calcium and other such deposits near opening of the blood vessel.
- The preferred embodiments of the invention will hereinafter be described in conjunction with the appended drawings provided to illustrate and not to limit the invention, wherein like designations denote like elements, and in which:
- FIG. 1 shows an occlusion device inserted in a blood vessel in accordance with the present invention;
- FIG. 2 shows the preferred embodiment of the occlusion device;
- FIG. 3 shows an insertion syringe in accordance with the present invention;
- FIG. 4 shows an exploded view of the insertion syringe; and
- FIG. 5 shows an alternate embodiment of the occlusion device.
- An Abdominal Aortic Aneurysm (AAA) is a disease that weakens the walls of the aorta and leads to swelling of the aneurysm affected region of the aorta. The weakened walls of the aorta may not be able to withstand the pressure of blood flowing through the aorta, and in extreme cases, the aorta may rupture in the affected region leading to internal hemorrhaging.
- In most cases, surgery is required to treat the AAA. The treatment typically provides an alternate path for the flow of blood so as to bypass the aneurysm affected region of the aorta. Typically, the bypass is a graft that replaces the affected portion of the aorta.
- In this surgery, a surgeon makes an incision in the abdominal wall of the patient and gains access to the aneurysm affected region of the aorta. Then, the surgeon clamps the aorta above and below the aneurysm affected region in order to block the flow of blood through the aorta. In the next step, the surgeon opens the aneurysm affected region of the aorta and provides an alternate path for the flow of blood. Thereby, the affected region is bypassed.
- During the course of this surgery, the surgeon also occludes arteries that originate in this affected portion of the aorta; these arteries would otherwise bleed since these are part of a collateral circulation system. In a collateral circulation system, two or more arteries are interconnected by multiple smaller arteries and/or capillaries. Such an interconnected network of arteries leads to sufficient redundancy in the network. Therefore, if one of these arteries is blocked or damaged or otherwise rendered ineffective, blood is still supplied to regions of the body. However, this redundancy in the circulation system also leads to problems when one of these arteries is cut. For instance, the cut artery may start to bleed since the exposed artery would draw blood from the collateral circulation system. Consequently, arteries that are cut during this surgical procedure need to be quickly and effectively sealed.
- In this surgery, opening of the aneurysm affected region of the aorta exposes 4 to 6 collateral arteries that originate in this region. The surgeon must occlude these 4 to 6 arteries. Currently, sutures are used to occlude these arteries. However, this procedure is time consuming and leads to significant loss of blood before all the arteries have been occluded. Furthermore, sutures may not be effective if there are calcium deposits in this region. And, it may also lead to an overall increase in the time of the surgical operation.
- The present invention provides a
plug 102 that may be used to quickly and effectively seal these arteries. In the recommended surgical procedure, the surgeon clamps the aorta above the aneurysm affected region. In the next step, the surgeon cuts open the aorta along its length so as to expose the aneurysm affected region of the aorta. This also exposes the collateral arteries originating in this region. Next, the surgeon uses plug 102 to quickly seal these arteries thereby preventing excessive loss of blood. Then, the surgeon prepares a graft so as to create an alternate path for the flow of blood. Hence, the aneurysm affected region of the aorta is bypassed. - FIG. 1 illustrates an
artery 104 that has been occluded using aplug 102 in accordance with the present invention.Artery 104 has alumen 106 through which the blood flows and plug 102 has been inserted axially intolumen 106 to occludeartery 104.Plug 102 is axially symmetric and is inserted intoartery 104 such that the axis of symmetry ofplug 102 coincides with the longitudinal axis ofartery 104. Further, plug 102 has a tapered shape; the diameter ofrounded end 105 ofplug 102 is smaller thanlumen 106 and the diameter of the other end is larger than the diameter oflumen 106. This facilitates insertion ofplug 102 intoartery 104. -
Artery 104 has a thick elasticwall surrounding lumen 106. This thick wall has been provided so as to withstand flow of blood at high pressure throughartery 104. The elastic nature ofartery 104 allows plug 102 to be tightly grasped byartery 104. Therefore, the elastic nature of the walls enables the plug to be effective in occludingartery 104. Furthermore, the elastic walls ofartery 104 also permit a small range ofplugs 102 to be used for different sizes ofarteries 104. Thus, plug 102 of a certain size may be used for occluding arteries of different sizes. Typically, plug 102 ranges from 1 mm to 4 mm in diameter. - In the preferred embodiment, plug102 is made of silicone, which is a popular material for making devices that are implanted inside the body for long durations. Silicone is useful since it is non-toxic, chemically inert, substantially insoluble in blood and substantially non-immunogenic. In addition to silicone, newer elastomeric biocompatible materials may also be used to manufacture
plug 102. Ongoing research and development in biocompatible materials have created materials with a longer life, better strength and lower cost—all of which are desirable qualities of the material ofplug 102. Typical examples of such materials include polyurethanes and polyisobutylene-based polymers. - FIG. 2 shows internal construction of
plug 102.Plug 102 is axially symmetric and substantially hollow.Plug 102 has anouter surface 202 having a tapered shape and aninner surface 204. The plug is made of sufficient strength to withstand forces acting on it. On inserting this plug intoartery 104, the elastic walls of the artery exert a compressive force onplug 102. Furthermore, the plug is also subject to an axial force due to pressure of blood in the artery. Hence, in a preferred embodiment,inner surface 104 ofplug 102 is corrugated andprojections 206 are provided to add strength to plug 102. Further, plug 102 may be reinforced by means ofspokes 208 attached to theinner surface 204. Thesespokes 208 are typically made of Tungsten or some other material of sufficient rigidity and strength. In addition, plug 102 has apilot hole 210. Thispilot hole 210 enables plug 102 to be mounted oninsertion syringe 300, shown in FIG. 3. - In an alternative embodiment, plug102 may be constructed without any reinforcing
spokes 208. In this embodiment, plug 102 may be manufactured using materials of sufficient structural rigidity and strength. Furthermore, reinforcing spokes may be avoided by suitably increasing the thickness ofplug 102. - In a typical surgery, plug102 is inserted into
artery 104 by positioning this plug axially overartery 104, and by applying an axial force. The surgeon may apply this force either by hand (if feasible) or by using an insertion device such asinsertion syringe 300, shown in FIG. 3. This insertion syringe has acasing 302 and alever 306; the surgeon useslever 306 to operateinsertion syringe 300.Lever 306 in turn enables aneedle 308, housed in atubular needle guard 310, to be pushed outwards. To insert the plug, the surgeon mounts plug 102 on theneedle guard 310 of the insertion syringe. This is done by positioningneedle guard 310 such that it fits snugly intopilot hole 210 ofplug 102. Next, the surgeon alignsartery 104 and plug 102, and useslever 306 to provide an axial force onneedle 308 to insertplug 102 intoartery 104. This force inserts plug 102 intoartery 104; the artery has a smaller diameter than that ofplug 102; further, the elastic walls ofartery 104 tightly grip andsecure plug 102. - FIG. 4 shows an exploded view of
insertion syringe 300. This syringe is essentially a spring activated device. Aspring 400 and aneedle guide 402 have been shown encased incasing 302. This spring is in a compressed state beforelever 306 is activated, andneedle 308 is pulled insideneedle guard 310. Oncelever 306 is activated,spring 400 unwinds and propelsneedle guide 402; in turn, this needle guide propelsneedle 308 outwards. Hence, plug 102 that is attached toneedle guard 310 is propelled outwards and inserted intoartery 104. - It will be apparent to one skilled in the art that alternative ways to propel the needle may be employed in
insertion syringe 300. For instance,needle 308 ofinsertion syringe 300 could be propelled outwards using air or other fluid means at high pressure. - FIG. 5 shows an
alternative embodiment 500 of the present invention used to occlude anartery 104.Plug 500 is also symmetric about its axis. Further, plug 500 has arounded end 502 that facilitates introduction ofplug 500 intoartery 104. On inserting this plug, elastic walls ofartery 104 wrap aroundend 502 andtubular section 504 ofplug 500. In this plug, diameter ofrounded end 502 and diameter oftubular section 504 are slightly larger than diameter oflumen 106 ofartery 104. Consequently,artery 104 tightly grips plug 500 and plug 500 effectively occludes the artery. Thistubular section 504 is followed by adisc 506 having a larger diameter than that oftubular section 504. Upon inserting this plug,rounded end 502 andtubular section 504 enter the artery whereby the artery wraps aroundtubular section 504 along its length up todisc 506. Followingdisc 506 is anothertubular section 508 having apilot hole 510.Pilot hole 510 allows plug 500 to be used in conjunction withinsertion syringe 300 thereby enablingplug 500 to be quickly applied to occludeartery 104.Plug 500 is also made of a biocompatible material such as Silicone. - In another alternative embodiment, a plug shaped like an umbrella is used to occlude
artery 104. This plug is also axially symmetric. This plug exists in two configurations—a compressed state and an expanded state. This plug comprises an elastic outer surface and a plurality of ribs connected to this outer surface. These ribs may be operated to transform the plug from the compressed state to the expanded state. The umbrella shaped plug is introduced intoartery 104 in the compressed state. In this state, the plug has a diameter less than the diameter oflumen 106. Thereafter, the surgeon usesinsertion syringe 300 to operate the ribs, whereby the outer surface expands to occludeartery 104. The plug preferably uses a two cylinder mechanism to achieve this expansion. In this mechanism, a first cylinder is connected to the insertion syringe, and a second cylinder is connected to the ribs. In operating this mechanism, the second cylinder slides over the first cylinder to operate the ribs, thereby causing the plug to expand and occlude theartery 104. This plug is particularly advantageous in occluding an artery with calcium and other deposits near the opening of the artery. These deposits may not allow plugs to be effectively gripped by the artery. However, this umbrella shaped plug may be applied at a location where such deposits are absent, thereby effectively occluding the artery. - While the present invention has been discussed in connection with surgical repair of an aneurysm, it will be apparent to those skilled in the art that it may also be applied in other surgical procedures. For instance, the plugs of the present invention may be used to occlude arteries in other regions of the body. Furthermore, these plugs may also be used to occlude other blood vessels such as veins and capillaries. The plugs may be utilized in permanent or temporary procedures.
- While the preferred embodiments of the invention have been illustrated and described, it will be clear that the invention is not limited to these embodiments only. Numerous modifications, changes, variations, substitutions and equivalents will be apparent to those skilled in the art without departing from the spirit and scope of the invention as described in the claims.
Claims (13)
Priority Applications (6)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/086,753 US7278430B2 (en) | 2002-03-01 | 2002-03-01 | Blood vessel occlusion device |
PCT/US2003/006195 WO2003073914A2 (en) | 2002-03-01 | 2003-02-28 | Blood vessel occlusion device |
EP03711320A EP1487316A2 (en) | 2002-03-01 | 2003-02-28 | Blood vessel occlusion device |
AU2003213636A AU2003213636A1 (en) | 2002-03-01 | 2003-02-28 | Blood vessel occlusion device |
US10/505,735 US20050125022A1 (en) | 2002-03-01 | 2003-02-28 | Blood vessel occlusion device |
CA002478469A CA2478469A1 (en) | 2002-03-01 | 2003-02-28 | Blood vessel occlusion device |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/086,753 US7278430B2 (en) | 2002-03-01 | 2002-03-01 | Blood vessel occlusion device |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US10/505,735 Continuation-In-Part US20050125022A1 (en) | 2002-03-01 | 2003-02-28 | Blood vessel occlusion device |
Publications (2)
Publication Number | Publication Date |
---|---|
US20030167065A1 true US20030167065A1 (en) | 2003-09-04 |
US7278430B2 US7278430B2 (en) | 2007-10-09 |
Family
ID=27787510
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US10/086,753 Expired - Fee Related US7278430B2 (en) | 2002-03-01 | 2002-03-01 | Blood vessel occlusion device |
US10/505,735 Abandoned US20050125022A1 (en) | 2002-03-01 | 2003-02-28 | Blood vessel occlusion device |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US10/505,735 Abandoned US20050125022A1 (en) | 2002-03-01 | 2003-02-28 | Blood vessel occlusion device |
Country Status (5)
Country | Link |
---|---|
US (2) | US7278430B2 (en) |
EP (1) | EP1487316A2 (en) |
AU (1) | AU2003213636A1 (en) |
CA (1) | CA2478469A1 (en) |
WO (1) | WO2003073914A2 (en) |
Cited By (16)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20030050648A1 (en) * | 2001-09-11 | 2003-03-13 | Spiration, Inc. | Removable lung reduction devices, systems, and methods |
US20030154988A1 (en) * | 2002-02-21 | 2003-08-21 | Spiration, Inc. | Intra-bronchial device that provides a medicant intra-bronchially to the patient |
US20030181922A1 (en) * | 2002-03-20 | 2003-09-25 | Spiration, Inc. | Removable anchored lung volume reduction devices and methods |
US20030212412A1 (en) * | 2002-05-09 | 2003-11-13 | Spiration, Inc. | Intra-bronchial obstructing device that permits mucus transport |
US20030216769A1 (en) * | 2002-05-17 | 2003-11-20 | Dillard David H. | Removable anchored lung volume reduction devices and methods |
US20040210248A1 (en) * | 2003-03-12 | 2004-10-21 | Spiration, Inc. | Apparatus, method and assembly for delivery of intra-bronchial devices |
US20070232992A1 (en) * | 2006-03-31 | 2007-10-04 | James Kutsko | Articulable anchor |
US7942931B2 (en) | 2002-02-21 | 2011-05-17 | Spiration, Inc. | Device and method for intra-bronchial provision of a therapeutic agent |
US8043301B2 (en) | 2007-10-12 | 2011-10-25 | Spiration, Inc. | Valve loader method, system, and apparatus |
US8136230B2 (en) | 2007-10-12 | 2012-03-20 | Spiration, Inc. | Valve loader method, system, and apparatus |
US8667973B2 (en) | 2003-04-08 | 2014-03-11 | Spiration, Inc. | Bronchoscopic lung volume reduction method |
US8986336B2 (en) | 2001-10-25 | 2015-03-24 | Spiration, Inc. | Apparatus and method for deployment of a bronchial obstruction device |
US20150290414A1 (en) * | 2014-04-11 | 2015-10-15 | Nilesh R. Vasan | Bougie and Method of Making and Using the Same |
USD876625S1 (en) | 2018-08-07 | 2020-02-25 | Adroit Surgical, Llc | Laryngoscope |
US10624733B2 (en) | 2015-03-24 | 2020-04-21 | Spiration, Inc. | Airway stent |
WO2023022800A1 (en) * | 2021-08-20 | 2023-02-23 | Arizona Board Of Regents On Behalf Of The University Of Arizona | Vascular plug |
Families Citing this family (21)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7533671B2 (en) | 2003-08-08 | 2009-05-19 | Spiration, Inc. | Bronchoscopic repair of air leaks in a lung |
DE602004009598T2 (en) * | 2003-09-12 | 2008-07-24 | NMT Medical, Inc., Boston | DEVICE FOR PREVENTING THE FORMATION OF THROMBAS IN THE LEFT PORTFOLIO |
US20060030921A1 (en) * | 2004-08-03 | 2006-02-09 | Medtronic Vascular, Inc. | Intravascular securement device |
ATE448737T1 (en) | 2004-09-22 | 2009-12-15 | Dendron Gmbh | DEVICE FOR IMPLANTING MICROWL COILS |
US7879064B2 (en) | 2004-09-22 | 2011-02-01 | Micro Therapeutics, Inc. | Medical implant |
US8181653B2 (en) * | 2005-02-15 | 2012-05-22 | Yale University | Intrauterine fallopian tube occlusion device |
US8662081B2 (en) | 2005-02-15 | 2014-03-04 | Yale University | Intrauterine device |
JP2008529730A (en) * | 2005-02-15 | 2008-08-07 | イエール ユニバーシティ | Uterine fallopian tube occlusion device and method of use thereof |
CA2649702C (en) | 2006-04-17 | 2014-12-09 | Microtherapeutics, Inc. | System and method for mechanically positioning intravascular implants |
KR20100015520A (en) | 2007-03-13 | 2010-02-12 | 마이크로 테라퓨틱스 인코포레이티드 | An implant including a coil and a stretch-resistant member |
US9180039B2 (en) | 2010-08-16 | 2015-11-10 | Yale University | Intrauterine device |
WO2012138626A1 (en) * | 2011-04-05 | 2012-10-11 | Cook Medical Technologies Llc | Fallopian tube filter |
US8795241B2 (en) | 2011-05-13 | 2014-08-05 | Spiration, Inc. | Deployment catheter |
US9579104B2 (en) | 2011-11-30 | 2017-02-28 | Covidien Lp | Positioning and detaching implants |
US9011480B2 (en) | 2012-01-20 | 2015-04-21 | Covidien Lp | Aneurysm treatment coils |
US9687245B2 (en) | 2012-03-23 | 2017-06-27 | Covidien Lp | Occlusive devices and methods of use |
US9713475B2 (en) | 2014-04-18 | 2017-07-25 | Covidien Lp | Embolic medical devices |
JP7177061B2 (en) | 2016-09-01 | 2022-11-22 | マイクロベンション インコーポレイテッド | Temporary aortic isolation device |
US11389169B2 (en) | 2016-09-01 | 2022-07-19 | Microvention, Inc. | Temporary aortic occlusion device |
GB2563880B (en) | 2017-06-28 | 2022-03-23 | Cook Medical Technologies Llc | Implantable medical device including valve member |
CN111227906B (en) * | 2020-01-17 | 2021-04-20 | 吉林大学 | Defecation device for digestive surgery nursing |
Citations (18)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4710192A (en) * | 1985-12-30 | 1987-12-01 | Liotta Domingo S | Diaphragm and method for occlusion of the descending thoracic aorta |
US5171270A (en) * | 1990-03-29 | 1992-12-15 | Herrick Robert S | Canalicular implant having a collapsible flared section and method |
US5334137A (en) * | 1992-02-21 | 1994-08-02 | Eagle Vision, Inc. | Lacrimal fluid control device |
US5382261A (en) * | 1992-09-01 | 1995-01-17 | Expandable Grafts Partnership | Method and apparatus for occluding vessels |
US5527338A (en) * | 1992-09-02 | 1996-06-18 | Board Of Regents, The University Of Texas System | Intravascular device |
US5843164A (en) * | 1994-11-15 | 1998-12-01 | Advanced Carrdiovascular Systems, Inc. | Intraluminal stent for attaching a graft |
US6016806A (en) * | 1997-03-27 | 2000-01-25 | Eaglevision, Inc | Punctum plug |
US6041785A (en) * | 1997-03-27 | 2000-03-28 | Eaglevision, Inc. | Punctum plug |
US6082362A (en) * | 1997-03-27 | 2000-07-04 | Eagle Vision, Inc. | Punctum plug |
US6146396A (en) * | 1999-03-05 | 2000-11-14 | Board Of Regents, The University Of Texas System | Declotting method and apparatus |
US6270515B1 (en) * | 1995-02-06 | 2001-08-07 | Scimed Life Systems, Inc. | Device for closing a septal defect |
US6286510B1 (en) * | 1999-11-05 | 2001-09-11 | Terry L. Ray | Apparatus and method for preventing fluid transfer between an oviduct and a uterine cavity |
US6346102B1 (en) * | 1997-06-05 | 2002-02-12 | Adiana, Inc. | Method and apparatus for tubal occlusion |
US6547804B2 (en) * | 2000-12-27 | 2003-04-15 | Scimed Life Systems, Inc. | Selectively permeable highly distensible occlusion balloon |
US6629533B1 (en) * | 2000-06-30 | 2003-10-07 | Eagle Vision, Inc. | Punctum plug with at least one anchoring arm |
US6638293B1 (en) * | 1996-02-02 | 2003-10-28 | Transvascular, Inc. | Methods and apparatus for blocking flow through blood vessels |
US6746468B1 (en) * | 1999-06-02 | 2004-06-08 | Concentric Medical, Inc. | Devices and methods for treating vascular malformations |
US7017580B2 (en) * | 2003-05-22 | 2006-03-28 | Clarity Corporation | Punctum plug system including a punctum plug and passive insertion tool therefor |
Family Cites Families (31)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3626947A (en) | 1970-02-19 | 1971-12-14 | Charles Howard Sparks | Method and apparatus for vein and artery reenforcement |
US3958557A (en) | 1975-03-10 | 1976-05-25 | Texas Medical Products, Inc. | Coronary artery bypass graft testing device and method |
US5049142A (en) * | 1984-11-07 | 1991-09-17 | Herrick Robert S | Intracanalicular implant for horizontal canalicular blockade treatment of the eye |
US5042161A (en) | 1985-10-07 | 1991-08-27 | Joseph Hodge | Intravascular sizing method and apparatus |
US4852568A (en) | 1987-02-17 | 1989-08-01 | Kensey Nash Corporation | Method and apparatus for sealing an opening in tissue of a living being |
US5074375A (en) * | 1989-10-18 | 1991-12-24 | Grozil Richard S | Hearing protection system assembly |
US7074203B1 (en) * | 1990-09-25 | 2006-07-11 | Depuy Mitek, Inc. | Bone anchor and deployment device therefor |
US5133724A (en) | 1991-04-04 | 1992-07-28 | Pilling Co. | Abdominal aortic clamp |
US5282812A (en) | 1991-07-10 | 1994-02-01 | Suarez Jr Luis | Clamp for use in vascular surgery |
US5690666A (en) | 1992-11-18 | 1997-11-25 | Target Therapeutics, Inc. | Ultrasoft embolism coils and process for using them |
US5425757A (en) | 1993-05-21 | 1995-06-20 | Tiefenbrun; Jonathan | Aortic surgical procedure |
US5824011A (en) * | 1993-06-23 | 1998-10-20 | Kevin R. Stone | Suture anchor assembly |
US5725551A (en) | 1993-07-26 | 1998-03-10 | Myers; Gene | Method and apparatus for arteriotomy closure |
US5447515A (en) | 1994-02-08 | 1995-09-05 | Pilling Co. | Coronary bypass clamp |
US5879366A (en) | 1996-12-20 | 1999-03-09 | W.L. Gore & Associates, Inc. | Self-expanding defect closure device and method of making and using |
US5645565A (en) | 1995-06-13 | 1997-07-08 | Ethicon Endo-Surgery, Inc. | Surgical plug |
JP2750569B2 (en) | 1995-12-07 | 1998-05-13 | 幸夫 堀口 | Intravascular blood flow regulator and artificial blood vessel for bypass |
ATE247429T1 (en) | 1996-02-02 | 2003-09-15 | Transvascular Inc | SYSTEM FOR INTERSTITIAL TRANSVASCULAR SURGICAL PROCEDURES |
AR001590A1 (en) | 1996-04-10 | 1997-11-26 | Jorge Alberto Baccaro | Abnormal vascular communications occluder device and applicator cartridge of said device |
US5728133A (en) | 1996-07-09 | 1998-03-17 | Cardiologics, L.L.C. | Anchoring device and method for sealing percutaneous punctures in vessels |
US5733329A (en) | 1996-12-30 | 1998-03-31 | Target Therapeutics, Inc. | Vaso-occlusive coil with conical end |
US5944750A (en) | 1997-06-30 | 1999-08-31 | Eva Corporation | Method and apparatus for the surgical repair of aneurysms |
US5830171A (en) * | 1997-08-12 | 1998-11-03 | Odyssey Medical, Inc. | Punctal occluder |
US5925060A (en) | 1998-03-13 | 1999-07-20 | B. Braun Celsa | Covered self-expanding vascular occlusion device |
US6248112B1 (en) | 1998-09-30 | 2001-06-19 | C. R. Bard, Inc. | Implant delivery system |
US6458092B1 (en) | 1998-09-30 | 2002-10-01 | C. R. Bard, Inc. | Vascular inducing implants |
US6080183A (en) | 1998-11-24 | 2000-06-27 | Embol-X, Inc. | Sutureless vessel plug and methods of use |
US6179857B1 (en) | 1999-02-22 | 2001-01-30 | Cordis Corporation | Stretch resistant embolic coil with variable stiffness |
US6527780B1 (en) * | 2000-10-31 | 2003-03-04 | Odyssey Medical, Inc. | Medical implant insertion system |
US7363927B2 (en) * | 2002-02-26 | 2008-04-29 | Arvik Enterprises, Llc | Removable blood vessel occlusion device |
US20040068235A1 (en) * | 2002-10-07 | 2004-04-08 | Hallam Clive T. | Packaging system for a medical device and particularly a punctum plug insertion device |
-
2002
- 2002-03-01 US US10/086,753 patent/US7278430B2/en not_active Expired - Fee Related
-
2003
- 2003-02-28 EP EP03711320A patent/EP1487316A2/en not_active Withdrawn
- 2003-02-28 CA CA002478469A patent/CA2478469A1/en not_active Abandoned
- 2003-02-28 US US10/505,735 patent/US20050125022A1/en not_active Abandoned
- 2003-02-28 WO PCT/US2003/006195 patent/WO2003073914A2/en not_active Application Discontinuation
- 2003-02-28 AU AU2003213636A patent/AU2003213636A1/en not_active Abandoned
Patent Citations (18)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4710192A (en) * | 1985-12-30 | 1987-12-01 | Liotta Domingo S | Diaphragm and method for occlusion of the descending thoracic aorta |
US5171270A (en) * | 1990-03-29 | 1992-12-15 | Herrick Robert S | Canalicular implant having a collapsible flared section and method |
US5334137A (en) * | 1992-02-21 | 1994-08-02 | Eagle Vision, Inc. | Lacrimal fluid control device |
US5382261A (en) * | 1992-09-01 | 1995-01-17 | Expandable Grafts Partnership | Method and apparatus for occluding vessels |
US5527338A (en) * | 1992-09-02 | 1996-06-18 | Board Of Regents, The University Of Texas System | Intravascular device |
US5843164A (en) * | 1994-11-15 | 1998-12-01 | Advanced Carrdiovascular Systems, Inc. | Intraluminal stent for attaching a graft |
US6270515B1 (en) * | 1995-02-06 | 2001-08-07 | Scimed Life Systems, Inc. | Device for closing a septal defect |
US6638293B1 (en) * | 1996-02-02 | 2003-10-28 | Transvascular, Inc. | Methods and apparatus for blocking flow through blood vessels |
US6082362A (en) * | 1997-03-27 | 2000-07-04 | Eagle Vision, Inc. | Punctum plug |
US6041785A (en) * | 1997-03-27 | 2000-03-28 | Eaglevision, Inc. | Punctum plug |
US6016806A (en) * | 1997-03-27 | 2000-01-25 | Eaglevision, Inc | Punctum plug |
US6346102B1 (en) * | 1997-06-05 | 2002-02-12 | Adiana, Inc. | Method and apparatus for tubal occlusion |
US6146396A (en) * | 1999-03-05 | 2000-11-14 | Board Of Regents, The University Of Texas System | Declotting method and apparatus |
US6746468B1 (en) * | 1999-06-02 | 2004-06-08 | Concentric Medical, Inc. | Devices and methods for treating vascular malformations |
US6286510B1 (en) * | 1999-11-05 | 2001-09-11 | Terry L. Ray | Apparatus and method for preventing fluid transfer between an oviduct and a uterine cavity |
US6629533B1 (en) * | 2000-06-30 | 2003-10-07 | Eagle Vision, Inc. | Punctum plug with at least one anchoring arm |
US6547804B2 (en) * | 2000-12-27 | 2003-04-15 | Scimed Life Systems, Inc. | Selectively permeable highly distensible occlusion balloon |
US7017580B2 (en) * | 2003-05-22 | 2006-03-28 | Clarity Corporation | Punctum plug system including a punctum plug and passive insertion tool therefor |
Cited By (26)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7757692B2 (en) | 2001-09-11 | 2010-07-20 | Spiration, Inc. | Removable lung reduction devices, systems, and methods |
US20030050648A1 (en) * | 2001-09-11 | 2003-03-13 | Spiration, Inc. | Removable lung reduction devices, systems, and methods |
US8986336B2 (en) | 2001-10-25 | 2015-03-24 | Spiration, Inc. | Apparatus and method for deployment of a bronchial obstruction device |
US20030154988A1 (en) * | 2002-02-21 | 2003-08-21 | Spiration, Inc. | Intra-bronchial device that provides a medicant intra-bronchially to the patient |
US7942931B2 (en) | 2002-02-21 | 2011-05-17 | Spiration, Inc. | Device and method for intra-bronchial provision of a therapeutic agent |
US8021385B2 (en) | 2002-03-20 | 2011-09-20 | Spiration, Inc. | Removable anchored lung volume reduction devices and methods |
US8177805B2 (en) | 2002-03-20 | 2012-05-15 | Spiration, Inc. | Removable anchored lung volume reduction devices and methods |
US20030181922A1 (en) * | 2002-03-20 | 2003-09-25 | Spiration, Inc. | Removable anchored lung volume reduction devices and methods |
US20030212412A1 (en) * | 2002-05-09 | 2003-11-13 | Spiration, Inc. | Intra-bronchial obstructing device that permits mucus transport |
US7842061B2 (en) | 2002-05-17 | 2010-11-30 | Spiration, Inc. | Methods of achieving lung volume reduction with removable anchored devices |
US7875048B2 (en) | 2002-05-17 | 2011-01-25 | Spiration, Inc. | One-way valve devices for anchored implantation in a lung |
US20030216769A1 (en) * | 2002-05-17 | 2003-11-20 | Dillard David H. | Removable anchored lung volume reduction devices and methods |
US8956319B2 (en) | 2002-05-17 | 2015-02-17 | Spiration, Inc. | One-way valve devices for anchored implantation in a lung |
US20040210248A1 (en) * | 2003-03-12 | 2004-10-21 | Spiration, Inc. | Apparatus, method and assembly for delivery of intra-bronchial devices |
US8667973B2 (en) | 2003-04-08 | 2014-03-11 | Spiration, Inc. | Bronchoscopic lung volume reduction method |
US20070232992A1 (en) * | 2006-03-31 | 2007-10-04 | James Kutsko | Articulable anchor |
US7691151B2 (en) | 2006-03-31 | 2010-04-06 | Spiration, Inc. | Articulable Anchor |
US8136230B2 (en) | 2007-10-12 | 2012-03-20 | Spiration, Inc. | Valve loader method, system, and apparatus |
US8043301B2 (en) | 2007-10-12 | 2011-10-25 | Spiration, Inc. | Valve loader method, system, and apparatus |
US9326873B2 (en) | 2007-10-12 | 2016-05-03 | Spiration, Inc. | Valve loader method, system, and apparatus |
US20150290414A1 (en) * | 2014-04-11 | 2015-10-15 | Nilesh R. Vasan | Bougie and Method of Making and Using the Same |
AU2015243274B2 (en) * | 2014-04-11 | 2019-07-18 | Adroit Surgical, Llc | Bougie and method of making and using same |
US11547823B2 (en) * | 2014-04-11 | 2023-01-10 | Nilesh R. Vasan | Bougie and method of making and using the same |
US10624733B2 (en) | 2015-03-24 | 2020-04-21 | Spiration, Inc. | Airway stent |
USD876625S1 (en) | 2018-08-07 | 2020-02-25 | Adroit Surgical, Llc | Laryngoscope |
WO2023022800A1 (en) * | 2021-08-20 | 2023-02-23 | Arizona Board Of Regents On Behalf Of The University Of Arizona | Vascular plug |
Also Published As
Publication number | Publication date |
---|---|
WO2003073914B8 (en) | 2005-04-14 |
CA2478469A1 (en) | 2003-09-12 |
AU2003213636A1 (en) | 2003-09-16 |
EP1487316A2 (en) | 2004-12-22 |
WO2003073914A2 (en) | 2003-09-12 |
AU2003213636A8 (en) | 2003-09-16 |
WO2003073914B1 (en) | 2004-01-15 |
WO2003073914A3 (en) | 2003-12-11 |
US20050125022A1 (en) | 2005-06-09 |
US7278430B2 (en) | 2007-10-09 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US7278430B2 (en) | Blood vessel occlusion device | |
US7363927B2 (en) | Removable blood vessel occlusion device | |
US10398445B2 (en) | Method and apparatus for clamping tissue layers and occluding tubular body structures | |
US10918391B2 (en) | Method and apparatus for clamping tissue and occluding tubular body lumens | |
US5769870A (en) | Perfusion device for maintaining blood flow in a vessel while isolating an anastomosis | |
EP1143861B1 (en) | Apparatus for compressing body tissue | |
EP1435849B1 (en) | Apparatus for deploying a clip to compress body tissue | |
US7195636B2 (en) | Aneurysm neck cover for sealing an aneurysm | |
US9737309B1 (en) | System for occlusion of left atrial appendage | |
EP2078502A2 (en) | Removable lung reduction devices systems, and methods | |
US20040220446A1 (en) | Constriction device including tear resistant structures | |
JPH10500873A (en) | Apparatus and method for closing a body passage | |
WO2003034927A1 (en) | Bronchial obstruction device deployment system and method | |
JP2004535883A (en) | Vascular obstruction member and its distribution device | |
CA2576903A1 (en) | A new apicoaortic conduit connector and method for using | |
JP4312255B1 (en) | Aneurysm embolizer and method of handling the same | |
JP2005519645A (en) | Fastener remover and usage | |
JP4334611B1 (en) | Aneurysm embolizer | |
WO2022022235A1 (en) | Lumen anastomosis support dilator | |
JP2008518701A (en) | Vascular occlusion screw | |
US11484306B2 (en) | Apparatus and methods for occlusion of blood vessels | |
JP2005523068A (en) | Apparatus and method for placing a surgical fastener | |
WO2023022800A1 (en) | Vascular plug | |
WO2019237089A9 (en) | Apparatus and methods for temporary occlusion of blood vessels | |
US9597223B2 (en) | Reversible acute occlusion implant, delivery catheter and method |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
AS | Assignment |
Owner name: ARVIK ENTERPRISES, LLC, NEW YORK Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:KUMAR, RAVI;REEL/FRAME:012659/0935 Effective date: 20020223 |
|
AS | Assignment |
Owner name: ARVIK ENTERPRISES, LLC, NEW YORK Free format text: CORRECTIVE ASSIGNMENT TO CORRECT THE ASSIGNOR'S NAME PREVIOUSLY RECORDED ON REEL 012659, FRAME 0935;ASSIGNOR:RAVIKUMAR, SUNDARAM;REEL/FRAME:015247/0001 Effective date: 20041007 |
|
CC | Certificate of correction | ||
REMI | Maintenance fee reminder mailed | ||
FPAY | Fee payment |
Year of fee payment: 4 |
|
SULP | Surcharge for late payment | ||
REMI | Maintenance fee reminder mailed | ||
LAPS | Lapse for failure to pay maintenance fees | ||
STCH | Information on status: patent discontinuation |
Free format text: PATENT EXPIRED DUE TO NONPAYMENT OF MAINTENANCE FEES UNDER 37 CFR 1.362 |
|
FP | Lapsed due to failure to pay maintenance fee |
Effective date: 20151009 |